ComputerHunter.org |
|
|
|||
|
 |
How to Make Changes in Your Healthcare Organization
For many of us change is a difficult process. In organizations like healthcare it seems to advance at a snail's pace sometimes. There is a need for change in healthcare, most agree, though we would be hard pressed to agree upon the changes needed. One incentive for change is pay-for-performance programs now beginning in several areas. I would like to describe a couple that affect primary care physicians and then give a few suggestions as to how to adopt changes to take advantage of these programs. Even if you are not in a primary care physician program, the methods suggested for change will be helpful, I believe. In 2006 Medicare plans to institute a pay-for-performance program at the primary care physician level. Right now a model is being tested and seems to be doing quite well. In several states Blue Cross Blue Shield organizations are testing pay-for- performance programs. Here in West Michigan, Priority Health, a healthcare insurer, has promoted such a program for over five years. How does this work, you may ask? Priority Health, for example, funds the program for each of its patients a set amount. Doctors who meet a requirement of the program for a patient are rewarded with extra money for that patient. Hence, with many patients the income for the practice can be boosted considerably. The fact is that many are not rising to the opportunity. With planned cuts in Medicare reimbursements over the next few years, this source of income cannot be ignored! Healthcare programs need to change, no matter how difficult. The impetus for change should rest with the leadership of an organization, although the change should not be the sole responsibility of the leaders. Representatives from all parts of the organization should be involved. Once the need for change in a process is agreed upon, either because of extra revenue from pay-for-performance programs or other agents or data that positively affect the bottom line, leaders should convene a task force to plan the change. With input from all, leaders should map the process as it currently exits and then should make a new map of how they would like it to be to incorporate the positive changes. The new procedure should be standardized for all to adopt. How do you go about adopting these changes on a daily basis? This is probably the hardest part. Because humans learn in a variety of ways, it will take a variety of ways to implement the changes. The implementation of the changes should be based upon the learning styles of the individuals involved. Let me provide an example using the Medicare program. A patient who enters the Medicare program is entitled to a paid initial physical. A primary care physician should take advantage of this. Many don't. If I were the manager of such an office, I would remind my staff who set up appointments to be aware of this fact. I would remind them at regular staff meetings. I would post visible reminders in the office. I might even have a message flashed on the computer screen once in a while. Then I would review the appointments of patients who have become Medicare qualified and see how many had their initial physical or were booked for it. I would adjust my methods to remind staff of the need for such examinations and continue to improve on this until the office achieves 100% compliance with the goal. Booking the exam is not the only needed change. Doctors who perform the physical must accomplish examination details and actions laid out by Medicare. Hence, to be paid for the exam, each doctor must adhere to the exam details. I would help the doctors accomplish this in a variety of ways, depending on the doctor's learning style. For example, a checklist of the exam details might be included in the patient history folder when the exam is performed. That way the doctor will not miss any steps. As the leader of the change, I would check with billing to see that all the steps were performed and adapt new approaches or reinforce existing ones to see that the changes are accomplished 100% of the time. Changes such as these should be a part of a continuous quality improvement program at every healthcare provider organization. Let me quickly review the most important steps. First leaders should identify the changes needed. Then, the leaders should convene a committee of all affected staff to develop how to accomplish the change. Once the staff agrees upon the approach, the leaders should develop ways to implement the change on a daily basis adopting methods that incorporate learning styles of affected individuals. Then, they should continually analyze the progress of the changes and make necessary adjustments until the goals are accomplished. They should then audit the changes occasionally to be sure that the organization doesn't fall back into old habits. I believe that adopting such a change process will dramatically help at your site. You will see savings in time, increased patient or client health and satisfaction, as well as an improved bottom line! Donald Bryant, certified quality engineer, writes "Making Good Healthcare Better" a free monthly ezine for healthcare providers who want to dramatically improve patient health, improve the bottom line, and make work more rewarding, guaranteed. To find out more, visit http://www.bryantsstatisticalconsulting.com
Google News - Top Stories
|
|
|
|
RELATED ARTICLES
Take Control of Your Doctor: Ten Actions To Get What You Need At Your Next Office Visit Michael Richardson, MD has some suggestions on maximizing your next doctor's visit. Ingrown Toe Nails Medical Treatment Medical Care: Arizona Drug Rehab: Finding Help in Arizona The state of Arizona has one of the worst drug problems in the United States. Historically and currently, the state is known as a transhipment location for a variety of drugs, including heroin, cocaine and marijuana, which are imported from other countries. As a result, these and other drugs are widely available in the state, and their abuse is common. There are probably few states that require the presence of rehabilitation centers as this one does - thankfully Arizona drug rehab centers are some of the best in the world. Irritable Bowel Syndrome: Simple Self-Help Tips If you have been diagnosed with irritable bowel syndrome (IBS), you will know how difficult it is to treat. Doctors can be dismissive of IBS symptoms such as diarrhea, constipation and bloating, and when treatment is offered it may only help for a short while before the distressing symptoms return. Treating Lazy Eye in Older Children Many eye doctors believed until recently that if a child's vision was impaired because of a "lazy eye," the condition could not be corrected past the age of six or seven years. However, a study funded by the National Eye Institute, part of the National Institutes of Health, has found that amblyopia or "lazy eye" treatment can be effective in children age seven through 17. In fact, many of the 517 children studied at 49 eye centers showed improvement in their vision. Ephedra Product Ban Ephedra is a naturally occuring herbal dietary supplement that has been marketed as a weight loss drug. The principal active ingredient is an amphetamine-like compound. Because it has been marketed as an herbal supplement and not a drug, you may not have considered talking to your doctor about it, but if you have been using Ephedra or any dietary supplement containing ephedrine alkaloids, such as ephedra, ma huang, Sida cordifolia, and pinellia, stop immediately and consult a doctor! The FDA has advised consumers to stop using these dietary supplements and published a final ruling in 2004 to ban the sale of all supplements containing ephedrine alkaloids. Which Drug Addiction Treatment is the Best? The answer is simple: there is no such thing as the best drug addiction treatment. Depending on the kind of the addiction, your age and social situation different treatments may be chosen for your benefit. Lunesta Sleeping Pills: A Quick Guide To Lunesta When was the last time you enjoyed a good night's sleep? I'm talking about feeling tired, heavy, and relaxed - the times when you might say "wow! I love air conditioning" and fall right into a deep sleep. If you haven't fallen asleep quickly and woken up feeling refreshed and ready for anything, then you're not alone. Pharmaceuticals: The Next Frontier in America?s War on Drugs America's war on drugs, which has been fought in the opium fields of Afghanistan and the cocaine plantations of Columbia, will have to reinvent itself to combat what is set to be America's biggest drug abuse problem, pharmaceuticals. One in five American's, nearly 48 million, have used prescription drugs for non-medical purposes at least once in their lives. The current past month misuse rate among Americans is 6.2 million. According to a recent white paper by Carnevale Associates, this rate of use is already higher than the historical highs of both cocaine and heroin epidemics. Chicago Drug Rehab: Long Term Help For a Real Recovery The central location of the city of Chicago has made it a hub for the distribution of drugs in the Midwest, though much of the problem remains upon the city's streets. The use of crack cocaine is the city's biggest drug problem - since 1990, admissions to Chicago drug rehab for the treatment of this drug have more than doubled. The use of heroin has also increased in recent years, meaning that the drug rehab system now has to work harder than ever before. rX My Heart and Hope to Die This must be a mistake! How could his drug costs rise from $150 a month to $1101 in just three weeks? My hands shook while I read the pharmacy bill. The Top Seven Myths About Arthritis Myth #1: "Nothing can be done about arthritis..." The Highway to Health - Bumped Heads I recently had a reader send me this comment: The Right Stethoscope For Your Needs! Just about all health care providers have need of stethoscopes. Whether you're a nurse, respiratory therapist or a medical doctor, the need to auscultate the chest, lungs and heart is a necessary and important part of your work. In deciding from the many stethoscopes to choose from it's important to keep in mind what you'll be using your stethoscope for. For general purpose listening, stethoscopes are excellent tools and come at a very good price. Medical Testing: Health By The Numbers Doesnt Work Perhaps one of the most insidious dangers in modern technology is medical testing. Although it would be nice to be able to visit our doctor and get all hooked up with electrodes, inflatable cuffs, probes, needles and catheters and have a read-out telling us exactly how we are working and where there is a problem, that is a myth, not the reality. Hemorrhoids Treatment - A Variety of Options A variety of options exist for hemorrhoid treatment including surgery, herbal remedies, and hemorrhoid creams that provide temporary relief of symptoms. While prevention is the best hemorrhoid cure, treatment of hemorrhoids is critical to avoid more serious complications. Erasing the Stigma of Mental Illness As a physician specializing in psychiatry, I know that many emotional conditions such as depression and anxiety disorders are true medical illnesses with a biologic (physical) origin. Psychiatry has become more and more "biological" in its diagnosis and treatment approaches during recent years, but a very significant stigma still exists against those who are seeing a therapist. This has become increasingly difficult to understand, but it is a social stigma that is so very important to eliminate. Generic Drugs: How They Cost You Less? If you are wondering why the chemist has charged much less than what you expected then it is not because he has developed sudden liking for you or the government decided to subsidized your medical bill. Ambien Sleep Medication And Insomnia: What Is Insomnia And How Can Ambien Help? What's Insomnia? Serevent Side Effects Put Serevent in Top 5 Most Dangerous Drugs Serevent is an asthma inhalation medication, a bronchodilator, that relaxes the muscles in airways. It is preventative and not effective when taken during an asthma attack.
|
|
|
|
|
